HBTeen Montreal Trip

Hosted by Holy Blossom Temple

November 10 - November 12, 2023

Grades: 8 & 9

$450 per person

Participant Information

Why are we asking for pronouns? https://urj.org/quick-guide-pronouns

Parent Information 

Medical Information

Emergency Contact
Please provide an alternate contact to the parent/guardian information provided above.

Additional information

Transportation & Medical Waiver and Release

I, the undersigned, give my consent for the student identified above to be transported by Holy Blossom Temple by coach bus and will assume all liability for their participation in this event and any injury that may result during the transport or at the event. Further, by signing below: 

1. I will not hold Holy Blossom Temple, its officers, agents, employees, assigns or anyone acting on its behalf, responsible or liable for injury occurring to the named person in the course of such activities or such travel. 

2. I hereby accept financial responsibility for personal items lost by the person identified herein. 

3. I authorize Holy Blossom Temple to transport and to obtain, through a physician of its own choice, any emergency medical care that may become reasonably necessary for the person in the course of such activities/events or such travel, and agree to accept the cost of the transportation and/or treatment by medical personnel or facility. 

4. I accept full responsibility and hereby grant permission for my minor child to travel with Holy Blossom Temple. This Waiver and Release will be valid for all transportation occurring as of and after the date below. 

This Waiver and Release is valid through November 10 - 12, 2023

Fee & Payment


Credit Card Information

Billing address must match the address associated with the credit card. 

Visa or Mastercard ONLY

Please note the following: 
  • The HBT email address is payments@holyblossom.org  
  • Please include the students name and HBTeen Montreal Trip in the e-transfer message details.
Thank you! You will now be redirected to the Holy Blossom Temple website after registering. Please check your email for additional information.
Thank you! You will now be redirected to program donation form. Please check your email for confirmation of your registration.